Mary K Stansell, RD LD CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

136 Issued in OR

Practice address

221 Stewart Avenue
Suite #101
Medford, OR 97501-3609

Phone

(541) 776-2003

Fax

(541) 776-9833

NPI assigned

Jun 4, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083653471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 STEWART AVENUE",
            "address_2": "SUITE #101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013609",
            "telephone_number": "541-776-2003",
            "fax_number": "541-776-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 STEWART AVENUE",
            "address_2": "SUITE #101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013609",
            "telephone_number": "541-776-2003",
            "fax_number": "541-776-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSELL",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "RD LD CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Medford, OR
• Providers in Medford, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.